Heel Disorders

Heel Disorders Diagnosed and Corrected by West Vancouver Foot Clinic

Heel Disorders and Treatments

The most common cause of heel pain is plantar fasciitis. Heel pain originates deep within the foot, directly on the heel bone or within the bottom of the foot’s connective tissues, called the plantar fascia. Several layers of deep fatty tissue surround the heel bone, softening the impact of walking and running and protecting the bones and muscles of the foot. Pain can result when the superficial connective tissue called the plantar fascia becomes irritated or inflamed. This condition is known as plantar fasciitis. There are several causes of plantar fasciitis or heel pain. These include:

  • Inadequate Flexibility in the Calf Muscles
  • Lack of Arch Support
  • Sudden Increase in Activity Level
  • Spending Too Much Time Standing on the Feet Without Rest


Most cases of heel pain are characterized by inflammation. As the arch of the foot collapses or sags, the plantar fascia will stretch and begin to pull at its attachment site on the heel bone. This process results in the tissues becoming irritated, and then inflamed. Inflammation of the fascia is called plantar fasciitis.

Heel Spurs

A projection or growth of bone may be called a spur, and can grow where the muscles of the foot attach to bone. Heel spurs are soft, bendable deposits of calcium that are the result of tension and inflammation in the location that the plantar fascia attaches to the heel bone.

Other Causes of Heel Pain

While injury, overuse or other temporary, mechanical causes can bring on discomfort in the heel, a painful heel may also accompany a more serious condition such as:

  • Gout
  • Arthritis
  • Psoriasis
  • Collagen Disorders
  • Nerve Injuries
  • Heel Bone Abnormalities
  • Tumors

Illnesses like these and others must be diagnosed and treated separately.

Caring for the Painful Heel

In most cases, heel pain can be relieved without surgery. Treatment may include self-care, medications, physical therapy, cortisone infiltration and/or orthotics.


Orthotics at the West Vancouver Foot clinic are designed by creating a custom mold of the foot. The process begins with a thorough examination and biomechanical assessment of your feet by Dr. Mohamed, a qualified and trained professional. Impressions are then taken and a detailed prescription form is completed. Plaster casting is utilized to capture the impression of the foot in the corrected biomechanical position. A formed orthotic shell is then made from the captured plaster cast of the patient’s foot in a specialty lab.

We also specialize in the diagnosis and treatment of hammertoes, claw toes, heel spurs and other digital deformities.